A systematic review of Patient Safety in Mental Health: a protocol based on the Inpatient Setting

File Description SizeFormat 
art%3A10.1186%2Fs13643-016-0365-7.pdfPublished version654.87 kBAdobe PDFView/Open
Title: A systematic review of Patient Safety in Mental Health: a protocol based on the Inpatient Setting
Authors: D'Lima, D
Archer, SA
Thibaut, B
Ramtale, S
Dewa, L
Darzi, A
Item Type: Journal Article
Abstract: Background Despite the growing international interest in patient safety as a discipline, there has been a lack of exploration of its application to mental health. It cannot be assumed that findings based upon physical health in acute care hospitals can be applied to mental health patients, disorders and settings. To the authors’ knowledge, there has only been one review of the literature that focuses on patient safety research in mental health settings, conducted in Canada in 2008. We have identified a need to update this review and develop the methodology in order to strengthen the findings and disseminate internationally for advancement in the field. This systematic review will explore the existing research base on patient safety in mental health within the inpatient setting. Methods To conduct this systematic review, a thorough search across multiple databases will be undertaken, based upon four search facets (“mental health”, “patient safety”, “research” and “inpatient setting”). The search strategy has been developed based upon the Canadian review accompanied with input from the National Reporting and Learning System (NRLS) taxonomy of patient safety incidents and the Diagnostic and Statistical Manual of Mental Disorders (5th edition). The screening process will involve perspectives from at least two researchers at all stages with a third researcher invited to review when discrepancies require resolution. Initial inclusion and exclusion criteria have been developed and will be refined iteratively throughout the process. Quality assessment and data extraction of included articles will be conducted by at least two researchers. A data extraction form will be developed, piloted and iterated as necessary in accordance with the research question. Extracted information will be analysed thematically. Discussion We believe that this systematic review will make a significant contribution to the advancement of patient safety in mental health inpatient settings. The findings will enable the development and implementation of interventions to improve the quality of care experienced by patients and support the identification of future research priorities. Registration This systematic review was registered to the PROSPERO database on the 15th February 2016 (registration number CRD42016034057) and updated on 26th April 2016.
Issue Date: 29-Nov-2016
Date of Acceptance: 31-Oct-2016
ISSN: 2046-4053
Publisher: BioMed Central
Journal / Book Title: Systematic Reviews
Volume: 5
Copyright Statement: © The Author(s). 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.
Sponsor/Funder: Imperial College Healthcare NHS Trust
National Institute for Health Research (NIHR)
Funder's Grant Number: RDPSC 79560
RDPSC 79560
Keywords: Inpatient setting
Mental health
Patient safety
Publication Status: Published
Article Number: 203
Appears in Collections:Division of Surgery
Faculty of Medicine

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Creative Commonsx